Group‐based HIV risk reduction intervention for adolescent girls: Evidence of feasibility and efficacy

Abstract

The purposes of this pilot study were (a) to assess the feasibility of a community‐based, small group HIV risk reduction intervention with adolescent girls, and (b) to obtain preliminary evidence of the efficacy of this theoretically‐guided intervention using a controlled design. The feasibility of the intervention was demonstrated by successfully implementing it with 33 sexually‐active, single girls. Preliminary evidence of the efficacy of the intervention was obtained using a randomized trial with 62 sexually‐active, single girls. Data obtained at a 3‐month follow‐up assessment showed that girls who received the HIV‐related intervention improved their HIV‐related knowledge and enhanced their motivation for risk reduction compared to girls who received a control (health promotion) intervention. Effect sizes suggest that the HIV intervention also reduced several risk behaviors (e.g., vaginal sex without a condom, giving oral sex, and alcohol and drug use before sex). Challenges to implementation and suggestions for intervention enhancement are discussed. © 2004 Wiley Periodicals, Inc. Res Nurs Health 28:3–15, 2005